unit 201r
EAGAN
3830 PILOT KNOB ROAD I EAGAN; MN 55122-1810
(651) 675-5675 I FAX: (651) 675-5694
Email: buildinginspections@cityofeagan.com
For Office Use Permit #: 491g5
Permit Fee:
Date Received:
Staff:
2021 RESIDENTIAL MECHANICAL PERMIT APPLICATION
Date: Site Address: 1510 Thomas Lk Pt Rd #201
Tenant:
Suite #:
r
Resident/Owner
Name: Nationwide Housing Corp Phone: 763-231-5280
Address i city zip: 6200 Shingle Creek Pkwy #300 Brooklyn Center 55430
Contractor
Name: Heating & Cooling Two, Inc.
Address: 18550 Ct Rd 81
License #:
MB003401
City: Maple Grove
State: MN Zip: 55369
Contact: Linda Locke
Phone: 763-428-3677
Email: permit@heatcool2.com
RESIDENTIAL
Permit TYpe
Furnace
Air Conditioner
Air Exchanger
Heat Pump
Other
Type of Work
New ✓ Replacement Additional
Description of work: Replace Air Conditioner
Alteration Demolition
RESIDENTIAL FEES
$60.00 Minimum Add or alteration to an existing unit, includes State Surcharge
$100.00 Residential New, includes State Surcharge
= $ TOTAL FEE
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I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work
with the approved plan in the case of work which requires a review and approval of plans.
)(Linda Locke
Applicant's Printed Name
)(
the City's website at
codes of the City of
will be in accordance
Applicant's Signature
FOR OFFICE USE
Required Inspections:.
Underground Rough In - AirTest Gas Service Test
d' By:
In -floor H
Date: